MSU Human Resources - Support Staff Forms
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Support Staff Forms

Hiring / Job Postings

Request for Accomodation  PDF
Exposure to Health Risks / Physical Demands Form  PDF  Word
Immigration and Naturalization Service I-9 Form (link)
Parent Consent Form  PDF 
Pre-Employment Test Consent  PDF
Request to Employ a Relative PDF 
Staffing Request / Reclassification Form  PDF  Word

Benefits

Dental
Aetna Dentist Nomination Form  PDF  Word 

FSA
Meritain Health - Reimbursement Request Instructions  PDF  Word 
Meritain Health - Reimbursement Request Form  PDF  Word 
Meritain Health - Direct Deposit  PDF  Word 
Meritain Health - HCSA Debit Card Substantiation Form  PDF  Word 

Health Care
Affidavit of Dependency  PDF  Word 
Hardship Application  PDF  Word 
Loss of Previous Coverage  PDF  Word

Life / Accident Insurance
Beneficiary Designation  PDF  Word 
Evidence of Insurability  PDF 

Long Term Disability
Return to Work Verification  PDF  Word

MSU Recognized Same-Sex Domestic Partners
Affidavit of Termination of Domestic Partnership  PDF  Word 
Declaration of Domestic Partnership  PDF  Word 
Domestic Partner Agreement Sample #1  PDF  Word 
Domestic Partner Agreement Sample #2  PDF  Word 
Domestic Partner Agreement Sample #3  PDF  Word 
Taxation of Domestic Partnership  PDF  Word

Retirement
Application for Retirement for University Support Staff  PDF  Word 
Retirement or Deferred Compensation Withdrawal Request  (Hardship Withdrawal Form)  PDF

Tuition Assistance
Educational Assistance Program Application  PDF  Word

Workers' Compensation
Authorization to Invoice MSU  PDF  Word 
Authorization to Invoice MSU for Employees not in the Lansing Area  PDF  Word 
Injury Absence Report  PDF  Word 
Intent to Treat  PDF  Word 
Medical Travel Reimbursement Request  PDF  Word
Report of Claimed Occupational Injury or Illness  PDF  Word

Time off / Leave Programs

Certification of Physician or Practitioner for FMLA  PDF  Word
Request for Time Off  PDF  Word
Request for Leave of Absence (Support Staff)  PDF  Word

Performance Review & Development

Employee Self-Review Worksheet  PDF  Word
Executive Management Performance Development Program  PDF  Word 
Interim Evaluation (APA, APSA)  PDF  Word 
Notice of Non-Academic Disciplinary Action  PDF  Word 
Notice of Suspension Pending Investigation  PDF  Word 
Observed Behavior - Reasonable Cause Record  PDF  Word 
Performance Development Program  PDF  Word 
Performance Development Program II  PDF   
Performance Improvement Plan  PDF  Word
Probationary Evaluation  PDF  Word

Professional Development / Training

Educational Assistance Program Application  PDF  Word 
ETC-CT Application  PDF  Word 
Foundations Application  PDF  Word 
Front Desk Application  PDF  Word 
Leadership from the Inside Application  PDF  Word 
Leading Edge Application  PDF  Word 

Pay, Rewards & Recognition

Additional Payments  PDF
Direct Deposit (link)
Special Payment Authorization PDF Word
W-4 Forms (Federal, State, City) (link)

Grievances, Discipline & Complaints

Acknowledgment of Receipt of Educational Materials on Alcohol and Substance Abuse for Operators of Commercial Motor Vehicles  PDF  Word 
Controlled Substances Test Results Notification  PDF  Word 
Drug Testing Procedures Driver Fact Sheet PDF  Word 
Non-Union Regular Support Staff Grievance Procedure Form  PDF  Word 
Notice of Non-Academic Disciplinary Action Form  PDF  Word 
Notice of Suspension Pending Investigation  PDF  Word 
Observed Behavior - Reasonable Cause Record  PDF  Word 
Pre-Employment Testing Consent  PDF 
Request for Time Off  PDF  Word

Retirement, Termination & Separation

Application for Retirement for University Support Staff  PDF  Word
Retirement Plan Earnings Reduction Agreement  PDF 
Termination / Separation Checklist  PDF  Word

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